RDAEF Program Requirements

Program registrants are required to provide the following documentation, along with their registration application (which you can download at the bottom of this page) and a $2,000 non-refundable deposit by August 1, 2012.

Required documentation

Please submit copies of your:

• Current RDA or RDAEF license
• Current CPR certification from the American Red Cross or American Heart Association affiliate
• Certification in radiation safety
• Certification in coronal polishing
• Certification in pit and fissure sealants

and

• Proof of professional liability insurance coverage*
• A signed agreement with your supervising dentist agreeing to administer local anesthetic to your patients during the clinical portions of the program (due before beginning Module III)**
• Copies of all patient health histories, consent forms and treatment plans (due before beginning Module III)

*Students are required to provide liability insureance for the duration of the program since they will be working on patiens and fellow students. A copy of the liability insurance certificate must be submitted before the start of the program.

**If there is more than one student per office taking this program, a dentist may supervise all the assistants from that office throughout the duration of the program.

Application

Complete and return application, supporting documentation and $2,000 non-refundable deposit (check or credit card) to:

Continuing Dental Education
University of the Pacific
Arthur A. Dugoni School of Dentistry
2155 Webster Street, Suite 407
San Francisco, CA 94115

Questions?  Call us at 415.929.6486 or e-mail cedental@pacific.edu